Expired CME Article

Implications of Cyberspace Communication: A Role for Physicians

Authors: Stephen J. Genuis, MD, FRCSC, DABOG, Shelagh K. Genuis, MLIS, BSCOT

Abstract

Through the presentation of three clinical case reports and subsequent discussion, it is demonstrated that physicians must begin to familiarize themselves with the health-related implications of online communication, and must proactively address Internet use as it relates to health and well-being. Included case presentations highlight the following: the established association between those seeking sexual partners through the Internet and an increased risk for sexually transmitted disease; the implications of cyber-communication for young people and concerns related to unsafe online behaviors including sharing identifying information with strangers; the potential use of strategically constructed virtual identities to facilitate sexual exploitation; the impact of accelerated intimacy and disinhibition evident in online communication; and the invasive nature of Internet sexual harassment or bullying. Although it is recognized that most online activities do not negatively affect health, doctors must be prepared to ask patients about Internet use and become involved in educating children, teenagers, and parents about safe online relationships to promote optimal physical, mental, and social health.


Key Points


* Online communication has become an integral part of life for many people, particularly youth.


* There is an association between those seeking sexual partners through the Internet and an increased risk for sexually transmitted infections.


* Internet sexual harassment or bullying is emerging as a cause of diminished well-being in some youth.


* The accelerated intimacy and disinhibition evident in online communication lends itself to the exploitation of individuals, particularly adolescents.


* Physicians can play a key role in the proactive education of families in order to diminish the risks associated with online communication and potential sequelae.

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